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1861030405
CHARLES SMYERS
FPO, AA
NPI
1861030405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-12-13
Last Update Date
2019-12-13
Business Address
CHARLES SMYERS
2D MARINE RAIDER BATTALION
FPO, AA 28542
Phone number: 910-440-7704
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Mailing Address
CHARLES SMYERS
92 S SUNFLOWER CT
CHANDLER, AZ 85226-7500
Phone number:
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